Chapter 1711

12 hours ago, Boston, USA.

Smoke rises from a house in West Roxbury.

The wires in the basement shall be in disrepair for a long time, causing electrical fire. The hostess here soon found out that there was an accident. She cut off the switch at the first time, and then put out the fire with a bucket.

It's just a strong smell of rubber. It smells very uncomfortable.

After putting out the fire, she felt tired all over, and her body was overwhelmed by the high tension just now.

The basement was full of smoke. I coughed when I took a breath.

He tried his best to get out of the basement. Finally, he was weak and almost fainted on the steps of the basement.

But the strong desire to survive made her insist on coming out.

She sat at the door, breathing the fresh air and feeling very happy. Although the basement needs to be thoroughly cleaned, I seem to have something to do these days, but it's really a wonderful thing to come out alive.

But sitting at the door, her lower abdomen began to hurt.

Severe pain consumes the last energy of the whole body, and endless fatigue surges like a tide, drowning the whole person.

She didn't panic.

Two or three months ago, she also encountered this situation, severe abdominal pain. He was taken to Massachusetts General Hospital by ambulance. The doctor said it was abdominal pain caused by periodic vomiting syndrome.

Damn periodic vomiting syndrome, damn insurance!

She sat at the door, not thinking of calling an ambulance, but ready to let time heal everything. When an ambulance comes, it will issue a frightening receipt.

It's not a receipt. It's a ticket to hell.

As long as she has strength, she doesn't want to go to the hospital by ambulance. The experience is terrible.

But she endured it all night and didn't get better. She had to contact her former attending doctor the next day and go to Massachusetts General Hospital.

There was no appointment, because Dr. mark, who diagnosed her with periodic vomiting syndrome last time, thought this case was very interesting, so he told her to find herself directly if there were any more problems.

Soon, Dr. mark began to regret his decision.

Last time he was hospitalized, he gave the female patient ondansetron, hydromorphone and intravenous infusion. After medication, the patient's nausea, vomiting and abdominal pain were relieved. On the second day of hospitalization, the patient was able to eat normally and was discharged home.

Dr. mark is only interested in periodic vomiting syndrome, and he is going to make a long-term follow-up investigation.

However, when the female patient was hospitalized again and did the corresponding examination, Dr. mark found that the patient was not in the right situation.

She is sane and directional. But the mood is unstable, laughing and crying.

The patient's gaze is strengthened, his speech speed is fast, his speech is urgent and sometimes ambiguous. And with the passage of time, her emotions became more and more intense. Someone saw her writhing violently in bed and pulling equipment and clothes.

Periodic vomiting syndrome did not have this problem, and Dr. mark began to be embarrassed as the attending doctor.

After consultation with a neurologist, I think it has nothing to do with nervous system diseases.

Soon, the patient's condition was further aggravated.

Dr. mark gave her intravenous infusion and ondansetron, pantoprazole, fentanyl and lorazepam. The patient was admitted to the intensive care unit for diagnostic examination.

The doctor in the intensive care unit was very unhappy. It was dawn, but he accepted a patient with an odd condition.

This is not the key. What angered him most was that he was about to watch the live broadcast of the operation, a live broadcast of the operation of a liver abscess with no history of trauma and operation, but a foreign body was seen in the liver.

"Damn it!" The ICU doctor nagged that the live broadcast of the operation was about to begin, and the female patient was also sent.

He can only regret to put down his cell phone and hope that the operator's operation can be done more slowly. The female patient was examined as quickly as possible. After symptomatic treatment, he returned to his room.

Sure enough, the operation has been completed.

Damn it, you can only watch the video. But he felt that watching the operation video had no soul at all. It was just an ordinary teaching video.

"Jason, my previous diagnosis of this patient was periodic..." Dr. Mark said his judgment, but was interrupted by Dr. Jason in ICU.

"I don't want to know what you diagnosed. Now I'm going to watch the operation video. Just because of your stupidity, it affects me to watch a wonderful operation!" Yelled Dr. Jason.

"Live operation? Is it the operation of the young doctor who has just become a lifelong professor in our hospital?" Asked Dr. mark.

"Yes!" Jason was livid and began to watch the "soulless" operation.

"Liver abscess? What does this kind of operation have to look good?" Mark leaned over and saw the picture of the operation on Jason's mobile phone.

It's just a liver abscess. Dr. mark hasn't seen the live broadcast of surgery from the other side of the ocean, because the live broadcast mainly focuses on interventional surgery, and he is not a doctor in the interventional department.

There are some surgeries, but Dr. mark doesn't think interdisciplinary surgery will be wonderful.

"Shut your mouth! This is a lifelong professor's operation. If you don't want to be fired by the board of directors, you'd better go to the operation with a pious heart." Dr. Jason's expression was wonderful. The operation was done quite quickly, which met his expectations.

His curiosity is that there is no history of trauma, no history of surgery, and why there are foreign bodies in the liver.

Where did this foreign body come from?

Soon, Dr. Jason saw the free abscess skillfully captured by the forceps, and then after sucking part of the thick juice, he accurately clamped the foreign body and took it out directly.

"Jason, what's that?" Mark asked, "how did it appear there?"

"The devil knows! There is no history of surgery or trauma. There will be foreign bodies in the body, causing liver abscess!" Jason stared at the picture. Then the operator didn't continue the operation immediately, but began to remove the pus moss attached to the foreign body on a piece of gauze with hemostatic pliers.

A partially corroded toothpick appears on the screen.

"It's a toothpick!" Dr. mark raised his hands and expressed his surprise in an exaggerated gesture.

Although Jason was also surprised, he tried to calm down and said, "mark, our new tenured professor is actually very capable."

"Just him?" Dr. Mark said, "I heard..."

"Please retain your respect for tenured professors if you don't want to be dismissed." Jason watched the operation attentively. The operator changed sterile gloves and continued to clean the abscess.

The focus of the operation is the removal of the foreign body. Nevertheless, Dr. Jason is still interested in all the operations of the operator.

After the operation, Dr. Jason felt more than enough.

Suddenly, a strange idea came into my mind.

Can you let the patient with periodic vomiting syndrome have a look through e-mail?

……

……

Note: the case is from Massachusetts General Hospital. Well, it's true, not fabricated.